From paper to practice: an exploratory study of policy making and implementation in alternative forms of healthcare public‐private partnership in Ghana

Dugle, Gordon; Kpinpuo, Stephen Debar; Ghartey, Benjamin Baisie

doi:10.1002/hpm.3123

Cited by 3 publications

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Decision-making under crisis: insights from the health service sector

Doran,

Phan

2024

View full text Add to dashboard Cite

PurposeThis study aims to assess National Health Service (NHS) decision-making protocols during the pandemic, with two primary objectives: (1) to establish whether decision-making protocols changed during the pandemic and (2) to evaluate if these changes could inform future decision-making strategies beyond the pandemic. By focusing on the shift from traditional to emergency decision-making processes, this research seeks to derive actionable insights for enhancing policy and practice in crisis conditions.Design/methodology/approachWe employ a mixed-methods approach, gathering data through an online survey targeted at senior NHS decision-makers involved in the pandemic response. Our survey collected quantitative and qualitative data to assess changes in decision-making protocols. The analysis included statistical techniques to quantify changes and thematic analysis to explore their implications, providing a detailed understanding of decision-making adaptations during the crisis and their potential future impact.FindingsOur findings clarify the role of the NHS values and constitution, which prioritize patient welfare, dignity and equitable access to healthcare, guiding all decision-making. During the pandemic, the urgency to respond swiftly necessitated modifications to these guiding principles. Traditional processes were adapted, allowing for more rapid decision-making while still aligning with the core values, effectively balancing immediate response needs with long-term healthcare commitments.Research limitations/implicationsOur research contributes to decision-making under crisis conditions within a healthcare context and brings together a theoretical background which has accommodated the development of models and approaches that can be utilized by both service and manufacturing organizations. In addition, we have sought to bring together the importance of decision-making protocols under crisis conditions using observations from respondents who experienced decision-making at a senior level prior, during and beyond the period of the COVID-19 pandemic, which has assisted in the models developed in this paper. In addition, our empirical research demonstrates the importance that the values of the organization have upon decision-making and how such values need to be adjusted in the light of crisis operations.Practical implicationsOur research provides insightful observations relating to the pressures upon decision-making protocols under crisis conditions and provides senior decision-makers with an approach to realigning values to cope with unusual and highly pressurized operating environments. Notably, there is a clear requirement for decision-makers to communicate clearly to staff the need to temporarily alter the modus operandi to reflect crisis operations.Originality/valueTo the best of the authors’ knowledge, this is the first study to explore decision-making in the NHS during a pandemic and to clearly demonstrate how such decision-making needs to be adapted to reflect the nature and scope of delivering a complex healthcare service under crisis conditions.

show abstract

Decision-making under crisis: insights from the health service sector

Doran,

Phan

2024

View full text Add to dashboard Cite

show abstract

Peer support interventions in maternal and child healthcare delivery in sub-Saharan Africa: Protocol for a realist review

Dugle¹,

Antwi²,

Quentin

2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background Peer support has been proposed as a promising policy intervention for addressing adverse maternal and child healthcare (MCH) outcomes in sub-Saharan Africa (SSA). Existing reviews on peer support largely draw on evidence from high-income countries or focus on single services like breastfeeding, nutrition or postnatal care. In contrast, this review aims at providing a comprehensive overview of the empirical literature on peer support interventions across various MCH services in sub-Saharan Africa. Specifically, we aim to understand how, why, for whom, and in what circumstances different forms of MCH peer support interventions contribute to improving healthcare outcomes in sub-Saharan Africa. Methods Our realist review methodology involves various iterative processes of search, appraisal, selection and synthesis of the literature. Four databases–Cochrane Library, PubMed, CINAHL, and EMBASE–were repeatedly searched between March and June 2021. From a large volume of records retrieved from the database and citation search, 61 papers have been selected for review. We will conduct a second search of the same database covering June 2021 to the present before the final extraction and synthesis. The final list of selected papers will be imported into NVivo 12 software and organised, extracted, analysed and synthesised iteratively to examine and illustrate the causal links between contexts, mechanisms and outcomes of MCH peer support interventions in SSA. Discussion The review will develop an explicit theory of peer support intervention in healthcare delivery and provide insights for developing evidence-informed policy on the intervention. Drawing lessons from the different national contexts and diverse areas of MCH in SSA, the review will provide an analytically generalizable programme theory that can guide intervention design and implementation. While focusing on MCH peer support interventions in SSA, the review contributes to evolving conversations on the use of theory for health policy planning and complex intervention design and implementation globally. Systematic review registration: Submitted in PROSPERO (18/05/2023)

show abstract

Public-private partnerships and collaboration in digital health: a scoping review and case study analysis of applications during the COVID-19 pandemic (Preprint)

Patel¹,

Wahal²,

Galindo³

et al. 2021

Preprint

View full text Add to dashboard Cite

BACKGROUND The emergence of digital technologies over the past decade has presented a novel opportunity to address healthcare challenges associated with COVID-19 and accelerate progress towards achieving the health-related goals under the 2030 Sustainable Development Agenda. Public-private partnerships (PPPs) have played a vital role in scaling up digital health solutions and disseminating curated scientific information in the face of the infodemic. However, several challenges remain around the effectiveness of PPP-related digital solutions and antagonistic viewpoints of engaging the private sector. We sought to evaluate the role of public-private partnerships in the digital public health space during COVID-19 and identify key lessons learned and challenges in the uptake of digital health solutions globally. OBJECTIVE Electronic and grey literature search results from PubMed, Google, and Google Scholar were screened by one reviewer through a two-stage process. We included all relevant systematic reviews, interventional, observational, and descriptive studies published in English published from January 2020 to June 2021. Two case study analyses on digital health chatbots, informed by expert opinion, were also performed to assess for the role of public-private partnerships in advancing digital public health solutions. METHODS Electronic and grey literature search results from PubMed, Google, and Google Scholar were screened by one reviewer through a two-stage process. We included all relevant systematic reviews, interventional, observational, and descriptive studies published in English published from January 2020 to June 2021. Two case study analyses on digital health chatbots, informed by expert opinion, were also performed to assess for the role of public-private partnerships in advancing digital public health solutions. RESULTS Forty-five articles met the inclusion criteria for qualitative analysis, the majority of which were secondary research. Results of the publications can be broadly categorized into three groups: (1) models and definitions of public-private partnerships used in the healthcare space; (2) purposes of and motivations of public-private partnerships in global public health; and (3) and facilitators, barriers, and challenges to date. CONCLUSIONS The literature review as well as the case studies analysis reveal that PPPs can represent a valid option for tackling global healthcare issues with a digital health approach. Further research is needed to complement the initial findings of the present paper, as well as to assess a wider pool of case studies and the different features that they might present.

show abstract

From paper to practice: an exploratory study of policy making and implementation in alternative forms of healthcare public‐private partnership in Ghana

Cited by 3 publications

References 61 publications

Decision-making under crisis: insights from the health service sector

Decision-making under crisis: insights from the health service sector

Peer support interventions in maternal and child healthcare delivery in sub-Saharan Africa: Protocol for a realist review

Public-private partnerships and collaboration in digital health: a scoping review and case study analysis of applications during the COVID-19 pandemic (Preprint)

Contact Info

Product

Resources

About